Active NPI
Ernesto Cordova
- Family Nurse Practitioner
- Hialeah, FL
National Provider Identifier
1922513324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 9364522
- Practice address
- 1140 W 50TH St
Hialeah, FL 33012-3440 - Phone
- (305) 827-0208
- NPI assigned
- Dec 6, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 9364522 | FL | Primary |
Addresses
Primary practice location
1140 W 50TH St
Hialeah, FL 33012-3440
Mailing address
10700 City Center Blvd
Pembroke Pines, FL 33025-4072
Phone (305) 343-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9364522 | FL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1512518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1512518400000",
"number": "1922513324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10700 CITY CENTER BLVD",
"city": "PEMBROKE PINES",
"state": "FL",
"postal_code": "330254072",
"telephone_number": "305-343-0069"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 W 50TH ST",
"city": "HIALEAH",
"state": "FL",
"postal_code": "330123440",
"telephone_number": "305-827-0208"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOVA",
"first_name": "ERNESTO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-12-06",
"last_updated": "2017-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "9364522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hialeah, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.